Technology-enabled Hospital at Home: Innovation for Acute Care at Home

Abstract

Summary Since 2016, two hospital at home programs at Mass General Brigham have cared for more than 2,000 patients and have developed significant experience leveraging technology to improve clinical outcomes, operational efficiency, and the care experience for both patients and clinicians. These technologies have spanned from supporting remote visits and facilitating remote patient monitoring to enhancing clinical team coordination and supply chain management. Key lessons have been learned along these verticals, and there have been several important interoperability/integration and health equity implications, as the patient population and technology portfolio have expanded. Early experience points toward the use of these technologies in hospital at home as being safe and acceptable to patients and clinicians, as well as holding significant promise in enhancing clinical resource efficiency and coordination that will be critical to the scaling of acute care delivery in the home.